Individual
MRS. LORRAINE HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
745 POPLAR RD, NEWNAN, GA 30265-1618
(404) 367-3014
Mailing address
1555 WALKING HORSE TRL, CUMMING, GA 30041-8157
(470) 725-0535
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
190058
GA
363LA2100X
Acute Care Nurse Practitioner
2022008453
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022008453
CERTIFICATION NUMBER
GA
Enumeration date
01/19/2023
Last updated
04/18/2023
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